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1265199178
RUSSELL ALFARO
GRAHAM, WA
NPI
1265199178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2021-11-26
Last Update Date
2021-11-26
Business Address
RUSSELL ALFARO
21806 103RD AVENUE CT E STE 101
GRAHAM, WA 98338-8115
Phone number: 253-780-6061
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Mailing Address
RUSSELL ALFARO
21806 103RD AVENUE CT E STE 101
GRAHAM, WA 98338-8115
Phone number: 253-780-6061
Copy
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